Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $25,118.86	Facility		$3,311.31	$7,943.28	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $6,025.60	Professional		$3,311.31	$4,168.69	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $24,547.09	Facility		$3,548.13	$4,168.69	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $7,943.28	Professional		$6,606.93	$6,606.93	$7,943.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $40,738.03 / $40,738.03	Professional		$27,542.29	$40,738.03	$40,738.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $10,232.93	Facility		$3,981.07	$5,495.41	$10,232.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $6,918.31	Professional		$3,311.31	$4,365.16	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $11,748.98	Professional		$5,495.41	$5,888.44	$11,748.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $15,135.61	Facility		$3,311.31	$5,495.41	$15,135.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,754.40 / $10,232.93	Professional		$79.43	$5,754.40	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $5,495.41	Facility		$1,949.84	$2,290.87	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,801.89	Professional		$2,290.87	$2,290.87	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $5,495.41 / $5,495.41	Professional		$933.25	$5,495.41	$5,495.41